Individual provider Active NPI

Diana M Rice, PNP

  • Pediatric Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1295187987
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2022001727 Issued in MO
Practice address
621 S New Ballas Rd Ste 63B
Saint Louis, MO 63141-8251
Phone
(314) 251-3500
Fax
(314) 251-3502
NPI assigned
Jul 6, 2016
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2022001727 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 63B
Saint Louis, MO 63141-8251

Mailing address

621 S New Ballas Rd Ste 63B
Saint Louis, MO 63141-8251
Phone (314) 251-3500

Other identifiers 1

IdentifierTypeStateIssuer
420111576MedicaidMO

Other names 1

  • Diana M Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001073 MO Practitioner - Nurse Practitioner 2961795836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Childrens Surgery LLCGroup PAC ID 4385076199, 3 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 63B
Saint Louis, MO 63141-8251
Phone (314) 966-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022001727MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jun 27, 2022 Accepting new patients
Washington University CurrentSince Feb 26, 2024 Accepting new patients
Washington University CurrentSince Jun 27, 2022 Accepting new patients
Washington University Past Accepting new patients

Locations

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
Ste 1B
Saint Louis, MO 63110
Phone (314) 454-6062

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

660 S Euclid Ave
#8233
Saint Louis, MO 63110
Phone (314) 747-2494

660 S Euclid Ave
Stop 822100871800
Saint Louis, MO 63110

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1295187987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 63B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418251",
            "telephone_number": "314-251-3500",
            "fax_number": "314-251-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 63B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418251",
            "telephone_number": "314-251-3500",
            "fax_number": "314-251-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "DIANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2022001727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420111576",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Ste 1B",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MILLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.